Organization
S GENERATION CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STELLA NSONG RN (PRESIDENT)
(440) 205-2222
Entity
Organization
Contact information
Practice address
8370 MUNSON RD, MENTOR, OH 44060-2409
(440) 205-2222
Mailing address
8370 MUNSON RD, MENTOR, OH 44060-2409
(440) 205-2222
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
106071003
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106071003
OHIO DEPARTMENT OF AGING (PASSPORT PROVIDER)
OH
Enumeration date
05/06/2009
Last updated
05/06/2009
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